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Nursing - 309 Exam 2 Questions With Complete Solutions
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Nursing - 309 Exam 2 Questions With Complete Solutions
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Nursing - 309 Exam 2 Questions With Complete SolutionsA 15 old adolescent tells a school nurse, "I have persistent pain
during my periods."
What should the nurse encourage her do to? Correct Answers
Have a gynecologic examination.
A 20 year old woman is being evaluated for possible toxic shock
syndrome.
What question would the nurse ask? Correct Answers "Do you
use internal contraceptives?"
A 22 year old patient reports abdominal pain that stems to start
several days before her menstrual period.
What questions does the nurse ask in order to obtain a thorough
menstrual history? Correct Answers "How old were you when
you started menstruation?"
"Typically, how long does your period last?"
"How would you describe your menstrual flow?"
A 36 year old patient is diagnosed with dysfunctional uterine
bleeding. During the pelvic exam, the health care provider
determines that the bleeding is acute and heavy.
What is the nurse's priority action? Correct Answers Prepare to
administer combination hormonal therapy.
,A client at the women's health clinic tells the nurse she has
endometriosis.
What factors associated with endometriosis does the nurse
anticipate the client will report? Correct Answers Rectal
pressure.
Abdominal pain.
A client experiences a traumatic amputation of a leg in a motor
vehicle accident. Which nursing intervention INITIALLY
should receive the lowest priority? Correct Answers Teaching
residual limb care.
A client had an above the knee amputation of the left leg
because of trauma from a motor vehicle collision.
The health care provider orders ambulation with crutches until
the residual limb is healed and the client can be fitted with a
prosthesis.
What should be the nurse's FIRST intervention? Correct
Answers Determine if the client has ever used crutches before.
A client has a total hip arthroplasty.
What should the nurse do when caring for this client after
surgery? Correct Answers Use a pillow to keep the legs
abducted.
A client has a total hip replacement.
Which clinical indicators of pulmonary embolism indicate that
the plan to prevent postoperative thrombus formation has been
ineffective? Correct Answers Unilateral chest pain.
,Sudden onset of shortness of breath.
A client has a total knee replacement, and a continuous passive
motion device is being used.
The nurse concludes that the teaching was effective when the
client states, "The goal of this therapy to--" Correct Answers
Improve joint flexion."
A client has an amputation of a lower limb.
What instructions should the nurse give the client to prevent a
hip flexion contracture? Correct Answers Lie on the abdomen
30 minutes four times daily.
A client has an anterior and posterior surgical repair of a
cystocele and rectocele and returns from the PACU with an
indwelling catheter in place.
What should the nurse tell the client about the PRIMARY
reasons for the catheter? Correct Answers Discomfort is
minimized.
Urinary retention is prevented.
Pressure on the suture line is relieved.
A client has surgery to repair a fractured right hip.
Where should the nurse stand when assisting the client to
ambulate? Correct Answers On the client's left side.
A client is admitted with a fracture of the neck of the femur.
In what position should the nurse maintain the client's affected
extremity? Correct Answers Internal rotation with extension of
the knee and hip.
, A client is diagnosed with uterine fibroids, and the health care
provider advises a hysterectomy. The client expresses concern
about having a hysterectomy at age 45 because she has heard
from friends that she will undergo severe symptoms of
menopause after surgery.
What is the nurse's MOST appropriate response? Correct
Answers "Some women may experience symptoms of
menopause if their ovaries are removed with their uterus."
A client is in skin traction while awaiting surgery for repair of a
fractured femur.
The client reports leg discomfort and asks the nurse to release
the traction.
Which is the nurse's BEST INITIAL response? Correct
Answers "I can't because the eights are needed to keep the bone
aligned."
A client is ready to walk with crutches after knee surgery.
Which crutch walking technique will the nurse most likely have
to reinforce after the client returns from physical therapy?
Correct Answers Three-point
A client past menopause undergoes an anterior posterior
colporrhaphy.
What should the discharge teaching include? Correct Answers
Eating a high fiber diet.
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